Individual provider · Type 1 NPI

Tina Marie Reynolds

Addiction (Substance Use Disorder) Counselor · Azusa, CA

NPI number 1295918050 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Call (626) 910-1202 Map

Mailing address

16751 E Gragmont St
Covina, CA 91722-1116

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1295918050

Tina Marie Reynolds's National Provider Identifier is 1295918050, issued on Dec 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Azusa, CA. The record was last updated on Dec 14, 2007.